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2020
DOI: 10.1007/s12011-020-02146-3
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The Role of Lead, Manganese, and Zinc in Autism Spectrum Disorders (ASDs) and Attention-Deficient Hyperactivity Disorder (ADHD): a Case-Control Study on Syrian Children Affected by the Syrian Crisis

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Cited by 27 publications
(17 citation statements)
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“…Studies of cellular metal compositions and their associated proteins have been of increasing interest throughout recent years. In these studies, various factors have been considered, such as age, the severity of ASD, impacts of toxic metals on essential metals, and the presence of specific metalloproteins such as metallothioneins ( Vergani et al, 2011 ; Al-Farsi et al, 2013 ; Macedoni-Lukšič et al, 2015 ; Hawari et al, 2020 ). However, since the direct measurement of metal concentrations in brain tissue of human participants with ASD is currently not achievable, most metallomics studies were performed using blood, hair, nail, or tooth samples.…”
Section: Discussionmentioning
confidence: 99%
“…Studies of cellular metal compositions and their associated proteins have been of increasing interest throughout recent years. In these studies, various factors have been considered, such as age, the severity of ASD, impacts of toxic metals on essential metals, and the presence of specific metalloproteins such as metallothioneins ( Vergani et al, 2011 ; Al-Farsi et al, 2013 ; Macedoni-Lukšič et al, 2015 ; Hawari et al, 2020 ). However, since the direct measurement of metal concentrations in brain tissue of human participants with ASD is currently not achievable, most metallomics studies were performed using blood, hair, nail, or tooth samples.…”
Section: Discussionmentioning
confidence: 99%
“…Except for one study 24 in which both case and control groups had diabetes, other studies used healthy individuals and people with ADHD as control and case groups, respectively. Of the available studies, four were conducted in Egypt 24 , 28 , 29 , 33 , three in Russia 13 , 37 , 38 , two in Turkey 32 , 36 , two in the United States 34 , 41 , and others in Syria 25 , China 26 , Iran 27 , Slovakia 30 , Israel 31 , Saudi Arabia 35 , New Zealand 39 , Indonesia 40 , Thailand 12 , Korea 42 , and Georgia 43 . Twenty studies had case–control design and only two studies 13 , 28 were conducted by cross-sectional design.…”
Section: Resultsmentioning
confidence: 99%
“…Twenty studies had case–control design and only two studies 13 , 28 were conducted by cross-sectional design. According to the Newcastle–Ottawa scale, nine studies were assigned to moderate quality 12 , 25 , 27 , 29 , 30 , 32 , 36 , 40 , 41 , and the rest of them had high quality (Table 2 ).…”
Section: Resultsmentioning
confidence: 99%
“…Some researchers [ 72 , 73 ] studied the level of mercury in plasma, erythrocytes, brain, hair, and urine of patients with ASD and healthy people and have established that impaired processes of detoxication and metal excretion in the sick people resulted in its accumulation in tissues, stimulation of neuroinflammation, and disease development. In other investigations, abnormal concentration of chromium, magnesium, and zinc in hair and/or blood have been detected in patients with ASD compared to the control group [ 74 ], special importance was attached to zinc deficiency [ 75 77 ].…”
Section: Systemic Approaches To the Study Of Autism Spectrum Disordersmentioning
confidence: 99%